Sharp on nursing care and Sheila Scott on speech therapy. Other subjects include Parkinson's disease and its natural history, occupational therapy, and social work. There is information about the Parkinson's Disease Society and a list of useful addresses. Overall, I enjoyed reading this book which was u p t o date, clear, concise and informative. It is a very useful text book for all those learning about and treating Parkinson's disease patients. FELICITY HANDFORD MCSP
Skeletal Muscle in Health and Disease: A textbook of muscle physiology, by David A Jones and Joan M Round. Manchester University Press, 1 9 9 0 (ISBN 0 71 9 0 31 6 3 X hardback, ISBN 0 7 1 9 0 3 1 6 4 8 paperback). Illus. 2 2 1 pages. € 2 9 . 9 5 hardback, € 9 . 9 5 paperback. The authors have set out very clear objectives t o provide a textbook of basic muscle physiology that includes topics of current research interest and at the same time introducing the reader t o clinical physiology through the section on muscle disease. The topics in this book have been very carefully selected t o be of maximal value t o those readers w h o are particularly interested in exercise muscle physiology. There are many books written about exercise physiology but these are usually large tomes dealing with a very complex integration of inter-related systems from which it is usually difficult t o extricate the physiology of any individual system or tissue. The first four chapters on structure, mechanics and muscleinerve interactions are clearly explained and amply illustrated with relatively simple diagrams and highly magnified, well-labelled microscopic sections. The clarity and simplicity of the diagrams would encourage any student t o replicate them when describing these physiological activities. The book n o w moves t o g r o w t h ,
Communicating Quality - Professional Standards for Speech and Language Therapists, by Tessa Smith, Guidelines Project Director. College of Speech and Language Therapists, 1 9 9 1 (ISBN 0 9 4 7 5 8 9 0 1 51. 2 9 9 pages. € 2 7 . 9 5 (application form from CSLT, 6 Lechmere Road, London NW2 5BU). This beautifully produced book provides a guide t o good practice for speech and language therapists and aspires to be a guide f o r commissioning authorities and consumers. Not only are various service locations, client and service groups and
development and ageing of muscle in which strength and muscle mass is discussed in relation t o function including the use of anabolic drugs. The subsequent chapters on muscle training for power and endurance, muscle fatigue, damage and pain are very relevant t o the physiotherapist. The concepts cover a wide sphere of muscular activity ranging f r o m such everyday activities as rising from a chair to the more strenuous activity of marathon running. The final section is concerned with muscle diseases and demonstrates h o w a knowledge of muscle physiology underpins an understanding of the disease process. I have found this book to be extremely useful, interesting and readable. The information given is valuable in itself, but, at the same time 'whets one's appetite' t o seek further knowledge and provides the necessary references and ideas for further reading at the end of each chapter. With escalating costs and the rapid growth of new books it is difficult t o suggest that this should be an essential textbook for students, but, there should be multiple copies in school libraries. Individuals interested in specialising in sports medicine, and physiotherapy departments, would find purchase of this book a worth-while investment A JEAN BELL M A MCSP DipTP
The concept of the motor unit. A motor unir consists o f the motoneurone and a// the scattered muscle fibres which it innervates. A diagram from 'Skeletal Muscle in Healrh and Disease'
Physiotherapy, November 1991, vol 77, no 1 1
presenting disorders covered but also areas of professional development, management and skill mix. The last t w o chapters provide useful guide lines for independent ptactitioners and health promotion. There is no guide as t o the use of the different coloured print within the book. The detail presented in the first three chapters is somewhat repetitive and overlaps, making it difficult to see how such duplication facilitates the understanding of these services. Standards vary from being very precise and descriptive, for example, giving exact time periods within which referrals should be assessed, and fairly nonspecific about actual interventions or assessment procedures. In view of the national shortage of speech therapists it will be interesting t o see whether or not these standards can be upheld. As the language within the book is particular t o that professional jargon it is difficult t o know what the users would be able to glean from it. There is an excellent chapter on working within a legal framework covering a wide variety of issues. Professional development and management chapters can in many ways be applied t o many professions within the Health Service. The brief skill mix chapter does not cross professional boundaries but gives a good description of the various rules within speech therapy. Although this book will be of undoubted great benefit t o speech and language therapists I am unsure as t o h o w useful other professions, or indeed users, will find it. ANN HUNTER MCSP A n Anatomical Wordbook by Stephen Lewis. Butterworth-Heinemann, London, 1 9 9 0 (ISBN 0 7506 1 0 2 3 9 ) . 1 3 4 pages. €4.95. I enjoyed sampling the pages of this little book, pausing as terms caught m y eye, smiling in recognition here and raising eyebrows there as something quite new held my attention. I never sought the derivation of the word 'anatomy' but n o w appreciate how apt it was for early students of the subject; maybe physiotherapists, with their accent on the living body should coin a new word. The book is what it claims and is likely t o achieve what it sets out t o do - t o lighten the labour of anatomical study by showing that very many words are self-explanatory in terms of function, position, shape and so forth. The preface states: 'If as is said "every picture tells a story" then happily, in anatomy, "every word is a picture".' I had expected an anatomical dictionary but found rather more. Prefixes and suffixes: '-oids', '-iforms', and '-ates' are given attention and successive pages deal w i t h bones, muscles, cranial nerves, joint types and terms of space and action. A glossary forms two-thirds of the book which concludes w i t h some delightful potted biographies. M y apologies t o Julius Wolff for not acknowledging his law t o my students. The print is clear, contrasting typefaces are well used and the sections simply organised. Recommended for teachers who wish t o enlighten and students who desire to understand.
DAVID J WARD MCSP DipTP